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ACCESSORY
ORDER
FORM
CATALOG NUMBER
DESCRIPTION
My card expires:
My card expires:
Copy the number above your
name on the MasterCard
TOTAL
QUANTITY
PRICE*
For credit card purchases
Your complete charge card number, its expiration date and your
signature are necessary to process all charge card orders.
Copy your complete account number from your VISA card.
5-1923 $9.95
Copy your complete account number from your MasterCard.
Replacement Battery
*Prices are subject to change without notice.
Total Merchandise...........................................$_______________
We are required by law to collect the appropriate sales tax for each individual state, county,
and locality to which the merchandise is being sent.
Sales Tax........................................................ $_______________
Use VISA or MasterCard preferably .Money order or check must be in U.S. currency only. No
COD or Cash.
All accessories are subject to availability. Where applicable, we will ship a superseding
model.
Shipping, Handling, and Insurance............. ..$_______________
Total Amount Enclosed...................................$_______________
Mail order form and money order or check (in U.S. currency) made payable to
Thomson Consumer Electronics, Inc. to:
Consumer Electronics
Mail Order Department
P.O. Box 8419
Ronks, PA 17573-8419
This is your return label. Please print clearly To:
Name________________________________________________________
Address_____________________________________ Apt.____________
City ________________________State________ ZIP_________________
Please make sure that this form has been filled out completely.
____________________________________________________________________
Authorized Signature
$5.00
CUSTOMER: CUT ALONG DOTTED LINE.
✂
MODEL 2-9169A
343A6768-0001 (R
EV. 1 E/S)
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